Depends:
There are many different factors that goes into account when deciding about the best fertility treatment and it can't and should not be answered by simply advising yes or no ivf. I would suggest however to look into the possible underlying causes for the low morphology and try to improve it (if at all possible )before your next fertility treatment . Good luck!
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Intrauterine insemination (iui) is where fresh or frozen partner or donor sperm is prepared or 'washed' to increase the sperm quality then gently injected through your cervix after a speculum exam, like a pap smear exam. It should be painless or cause mild cramping only. Iui helps with mild to moderate sperm problems. Iui preparations should have at least 2 million moving sperm for best results.
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2

Unclear...:
Your reported findings of semen analysis is reasonable; azoospermia denotes no sperm in semen at all. Have you & sex partner been evaluated for contributing factors for infertility yet? Generally speaking, some 50% of infertility result from female factors, some 30% from male factors, and 20% from both sides. So, ask treating doctors more before considering IVF or ICSI.
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3

Doesn't make sense:
In most cases this would not make much sense, although it could depend on 'why' and 'how' the hrt was being used. Estrogens such as in hrt are sometimes used in stimulation protocols with gonadotropins (such as gonal f, (follitropin alfa) ) an oral progestin would be an unlikely element of most protocols.
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4

No more IUI:
Since you've failed 5 IUIs, it is no longer a good option for you, especially for someone with endometriosis. One reason patients with endometriosis not able to conceive naturally, is because the endometriosis will cause pelvic adhesion and tubal dysfunction. IVF is a much better option. If you are afraid of using drugs, you may choose natural cycle IVF or mild stimulation IVF.
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5

See below:
Your husband's condition is unfortunately difficult, and while you may be fortunate, icsi in your case has a rather high risk of being unsuccessful. Have you considered donor sperm or adoption? Good luck.
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8

Long discussion:
The decision to proceed with IVF is a hard one and should involve a detailed conversation with you fertility specialist. The risks should be discussed and weighed against your desire to have a child. The hormonal exposure during treatment is lower than the hormonal elevation you will experience during pregnancy Pregnancy causes a HUGE surge in hormones way beyond fertility medication.
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9

Yes, IVF is better:
At age 39 with DOR, you may try few cycles Clomid (clomiphene) IUI, but IVF is a better option. The reason is with DOR, you don't have many embryos to work with. On the other hand, if you do IVF, you may bank embryos and do FET later. At age 39, I strongly recommend to do Pre-implantation genetic screening (PGS) of your embryos prior to transfer. It will increase your change of pregnancy and reduce miscarriage
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10

IUI:
Is your physician confirming ovulation? Before you move on to IVF, that question has to be answered. You may need an hcg injection to help cause ovulation. Also , you need to ask if follicles are right range for size (about 15-22mm).
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11

IVF:
If both of your tubes are blocked the only fertility treatment that works is ivf. Success rate of ivf is high if you are young and if the only fertility issue that you have is the blocks tubes. Repairing your tubes is not recommended: it has a high failure rate as well as a very high risk of ectopic pregnancy. Injection will not help. Good luck..
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12

Hard to say, because:
First, no blood testing for females tells you yes/no on iui, that is determined by the male sperm numbers. Second, although your numbers are all in a normal range, the Estradiol at 123 is much too high for day 3 - which means the fsh might be suppressed (and therefore look 'better.' ) sorry if this sounds complicated!
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13

Recommend more testi:
Very important to get tested for DAZ genetic test that looks at the areas of the Y chromosome that is important for sperm production and fertilization. Also would get chromosome tested if previously not done so. Other test for males include the DNA defragmentation assay and evaluation of free reactive oxygen species in the Soren sample. And in the blood for male, thyroid and prolactin hormones.
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16

Very difficult to :
Say exactly. Not knowing anything about your history makes this difficult but in general we start with 225 total units of gonadotropins and in a 32 year old with endometriosis the range is wide: 0-15. I am not a fan of giving a precise number becuase there are so many variables involved...
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Yes:
Taking Clomid (clomiphene) and FSH together helps with improving the lining of the uterus which is crucial for implantation. It also helps with increasing the number of dominant follicles. Good luck
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20

Need more space:
to give the full answer. Short answer: they're the same, it depends on the embryo number and embryo quality. Day 5 allows transfer of fewer embryos (less risk of multiples) while keeping rates at the sam level. Could write a book about this, please consult with your MD or could do an online consult full details. Your doc is always first choice! Good wishes.
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